Wolverhampton care home graded 'requires improvement' after inspectors found risks to people 'weren't always considered'
A care home in Wolverhampton has been told it 'requires improvement' following its latest inspection.
The House of the Flame Lily, on Penn Road, Wolverhampton, has been graded 'requires improvement' by the Care Quality Commission (CQC).
The CQC carried out the inspection between October 31 and November 7, 2025, in response to concerns that were raised.
The CQC described the House of the Flame Lily as a facility that 'provides care and support' to people living in supported living settings, so that they can live as independently as possible.
Investigators found that the service was in breach of five legal regulations in relation to safe care and treatment, compliance with The Mental Capacity Act 2005, staffing, delivering person-centred care, and governance.
The inspectors found that risks to people 'were not always fully considered' based on their assessed needs, and that they also found concerns with the safety of people's environments.
There was also evidence of a lack of learning from the provider, and the principles of The Mental Capacity Act 2005 were not always followed.
They added that medicines were not always managed safely, which placed people at risk of not receiving them as prescribed, and that staff had not always received training relevant to people's individual needs.
A CQC spokesperson said: "We assessed the service against ‘right support, right care, right culture’ to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence and access to local communities that most people take for granted.
"The service was in breach of five legal regulations in relation to safe care and treatment, compliance with The Mental Capacity Act 2005, staffing, delivering person-centred care and governance."
The inspectors said that systems in place to monitor the home were not effective; however, safeguarding procedures were in place and followed, and staff members had received 'mandatory training'.
The spokesperson added: "The systems in place to monitor and improve the home were not effective, and the audits in place had not identified areas of concern.
"However, safeguarding procedures were in place and followed.
"There was a system in place to reduce the risk of cross-infection. Staff had received mandatory training, and they were safely recruited. Staff were happy working for the company and felt supported by the management team."
Residents and relatives of the care home said that while they were generally happy with the service and staff, they 'felt communication could improve' between themselves and care staff.
The full report of the inspection can be found on the CQC website.
